Effect of virtual reality sham feeding on postoperative gastrointestinal function in elderly patients with hip fracture_West China Medical Journal

Authors：

DUAN Shanshan ¹ , LIU Changqing ² , ZHU Liyu ³ , CHEN Jia ¹ , YAN Siqi ¹ , LI Mingyang ¹ , WU Siyi ¹ ,  LI Ka ³

1. Trauma Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Anesthesiology, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. West China School of Nursing, Sichuan University / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Ka, Email: lika127@126.com

Keywords：

Virtual reality; sham feeding; elderly patients with hip fracture; gastrointestinal function; impact

DOI：

10.7507/1002-0179.202501197

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effect of virtual reality (VR) sham feeding on gastrointestinal function in elderly patients with hip fracture. Methods Elderly patients with hip fracture admitted to Trauma Center, West China Hospital, Sichuan University between June and December 2024 who met the case selection criteria were selected. Patients who were willing to complete the postoperative VR operation were assigned to the experimental group (VR group), and the other patients were assigned to the control group by 1∶1 manual interval matching according to sex, age (±5 years), and body mass index (±2 kg/m²). The control group received fasting and nutrition management strategy during perioperative period of accelerated rehabilitation. In the VR group, VR sham feeding intervention was performed on the basis of the control group. The time of first postoperative exhaust and defecation, postoperative gastrointestinal symptoms, postoperative nutrition (hemoglobin, serum albumin) and inflammatory indicators (white blood cell count, erythrocyte sedimentation rate, C-reactive protein, interleukin-6), postoperative appetite and postoperative complications (bleeding, fever, delirium, aspiration, vertigo) were compared between the two groups. Results A total of 70 patients were enrolled, with 35 in each group. There were statistically significant differences (P<0.05) between the VR group and the control group in the time of postoperative first exhaust [(9.17±4.81) vs. (13.66±5.97) h], time of postoperative first defecation [(49.00±28.61) vs. (66.83±29.93) h], degree of abdominal distension 3 d after surgery (grade 0/1/2: 26/7/2 vs. 16/12/7 cases), appetite score 1 d after surgery (62.86±12.85 vs. 54.71±11.50), appetite score 3 d after surgery (76.29±9.95 vs. 62.43±8.86), albumin level 3 d after surgery [(33.18±3.41) vs. (31.40±3.07) g/L], and hospitalization days [(7.97±1.38) vs. (9.06±2.43) d], while there was no statistically significant difference in other indicators (P>0.05). Conclusions The incidence of postoperative gastrointestinal dysfunction is high in elderly patients with hip fracture. VR sham feeding can promote the early recovery of gastrointestinal function, alleviate postoperative abdominal distension, significantly improve postoperative appetite, and increase albumin level after surgery.

Citation： DUAN Shanshan, LIU Changqing, ZHU Liyu, CHEN Jia, YAN Siqi, LI Mingyang, WU Siyi, LI Ka. Effect of virtual reality sham feeding on postoperative gastrointestinal function in elderly patients with hip fracture. West China Medical Journal, 2025, 40(3): 432-438. doi: 10.7507/1002-0179.202501197 Copy

1.	中国老年医学学会骨与关节分会创伤骨科学术工作委员会. 老年髋部骨折诊疗专家共识(2017). 中华创伤骨科杂志, 2017, 19(11): 921-927.
2.	白求恩公益基金会创伤骨科专业委员会, 中国康复医学会骨质疏松预防与康复专业委员会, 中国老年医学学会骨与关节分会创伤骨科学术工作委员会, 等. 老年髋部骨折的骨质疏松症诊疗专家共识. 中华骨与关节外科杂志, 2021, 14(8): 657-663.
3.	唐佩福. 老年髋部骨折的诊治现状与进展. 中华创伤骨科杂志, 2020, 22(3): 197-199.
4.	Alexiou KI, Roushias A, Varitimidis SE, et al. Quality of life and psychological consequences in elderly patients after a hip fracture: a review. Clin Interv Aging, 2018, 13: 143-150.
5.	刘刚, 杨明辉, 张京, 等. 《老年髋部骨折诊疗与管理指南(2022 年版)》解读. 骨科临床与研究杂志, 2023, 8(2): 73-76.
6.	中华人民共和国国家卫生健康委员会. 老年髋部骨折诊疗与管理指南(2022 年版). 中国实用乡村医生杂志, 2023, 30(1): 11-18.
7.	何永琴, 黄陈, 冯筱青, 等. 谷氨酰胺对老年髋部骨折患者术后早期营养支持耐受性及炎症反应的影响. 第三军医大学学报, 2021, 43(20): 2250-2254.
8.	袁金艳. 择时吴茱萸穴位贴敷对老年髋部骨折患者术后胃肠功能影响的研究. 长沙: 湖南中医药大学, 2023.
9.	巫素青, 张伟, 侯明月. 视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能恢复的影响. 当代护士(下旬刊), 2018, 25(1): 57-59.
10.	Sammut R, Trapani J, Deguara J, et al. The effect of gum chewing on postoperative ileus in open colorectal surgery patients: a review. J Perioper Pract, 2021, 31(4): 132-139.
11.	Chen X, Chang C, Yuan X, et al. Efficacy and safety of preoperative chewing gum for undergoing elective surgery: a meta-analysis of randomised controlled trials. J Clin Nurs, 2023, 32(15/16): 4295-4310.
12.	杨剑, 杨生虎, 张成强, 等. 假饲对腹部术后肠梗阻治疗效果的研究进展. 中西医结合心血管病电子杂志, 2020, 8(31): 31-32.
13.	杨秋, 刘美连, 邰明霞, 等. 虚拟现实技术在国内外护理领域中应用的研究进展. 护士进修杂志, 2023, 38(7): 620-623, 635.
14.	Hu Y, Yuan X, Ye P, et al. Virtual reality in clinical nursing practice over the past 10 years: umbrella review of meta-analyses. JMIR Serious Games, 2023, 11: e52022.
15.	李卡, 袁星竹, 胡艳杰, 等. 一款集成视听嗅觉虚拟现实假饲装置的研发设计. 四川大学学报(医学版), 2023, 54(4): 792-797.
16.	中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组. 创伤骨科围术期禁食水管理专家共识. 中华创伤骨科杂志, 2018, 20(9): 737-742.
17.	Zhu Y, Blundell JE, Holschuh NM, et al. Validation of a mobile App-based visual analog scale for appetite measurement in the real world: a randomized digital clinical trial. Nutrients, 2023, 15(2): 304.
18.	Flint A, Raben A, Blundell JE, et al. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord, 2000, 24(1): 38-48.
19.	李艳平, 姚静松, 张立宏. 耳穴贴压对慢性阻塞性肺疾病患者无创通气后并发腹胀的疗效观察. 医学综述, 2021, 27(4): 829-833.
20.	Aziz I, Whitehead WE, Palsson OS, et al. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol, 2020, 14(1): 39-46.
21.	宋咪, 孔丹, 高远, 等. 老年髋部骨折围术期护理临床实践专家共识(2023 版). 中华创伤杂志, 2023, 39(3): 214-222.
22.	Inouye SK, van Dyck CH, Alessi CA, et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med, 1990, 113(12): 941-948.
23.	Lin CJ, Su IC, Huang SW, et al. Delirium assessment tools among hospitalized older adults: a systematic review and metaanalysis of diagnostic accuracy. Ageing Res Rev, 2023, 90: 102025.
24.	易松, 马士辉, 王贵梅, 等. 益气健脾活血法在老年髋部骨折围手术期并发胃肠功能紊乱中的预防价值分析. 四川中医, 2023, 41(7): 131-135.
25.	Cha YH, Nam DC, Song SY, et al. A prospective randomized controlled trial to evaluate effect of chewing gum on postoperative ileus in elderly patient after hip fracture. Medicine, 2021, 100(13): e25321.
26.	郭亚丽. 六字诀联合耳穴贴压预防老年髋部骨折患者术后便秘的效果观察. 福州: 福建中医药大学, 2022.
27.	Celik B, Bilik Ö. Postoperative constipation incidence and effects of selected risk factors on constipation development in elderly patients with hip fracture. Orthop Nurs, 2022, 41(6): 397-405.
28.	Trads M, Pedersen PU. Constipation and defecation pattern the first 30 days after hip fracture. Int J Nurs Pract, 2015, 21(5): 598-604.
29.	文曹丽, 贾伞伞, 李海婷. 穴位贴敷防治髋部骨折患者术后恶心呕吐的效果观察. 中国当代医药, 2020, 27(32): 145-148.
30.	高兰. 艾盒灸预防老年全髋关节置换术后气虚血瘀型患者腹胀、便秘及尿潴留的效果观察. 济南: 山东中医药大学, 2019.
31.	李强, 陈坤福. 加味增液承气汤对中老年髋部骨折围手术期并发腹胀、便秘临床观察. 中国医药科学, 2023, 13(11): 100-103.
32.	孟丽敏, 李卫, 刘伟, 等. 中老年功能性便秘患者症状与生活质量的相关性. 中国老年学杂志, 2017, 37(7): 1754-1756.
33.	Ikeda A, Miyamoto J J, Usui N, et al. Chewing stimulation reduces appetite ratings and attentional bias toward visual food stimuli in healthy-weight individuals. Front Psychol, 2018, 9: 99.
34.	Jiménez-Ten Hoevel C, Llauradó E, Valls RM, et al. Effects of chewing gum on satiety, appetite regulation, energy intake, and weight loss: a systematic review. Nutrients, 2025, 17(3): 435.
35.	许志娟. 视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究. 石家庄: 河北医科大学, 2015.
36.	Janet R, Fournel A, Fouillen M, et al. Cognitive and hormonal regulation of appetite for food presented in the olfactory and visual modalities. Neuroimage, 2021, 230: 117811.
37.	Savva A, Dijkman R, Bulik CM, et al. Behavioral separation of liking and wanting in response to olfactory and visual food cues. Appetite, 2025, 204: 107717.

1. 中国老年医学学会骨与关节分会创伤骨科学术工作委员会. 老年髋部骨折诊疗专家共识(2017). 中华创伤骨科杂志, 2017, 19(11): 921-927.
2. 白求恩公益基金会创伤骨科专业委员会, 中国康复医学会骨质疏松预防与康复专业委员会, 中国老年医学学会骨与关节分会创伤骨科学术工作委员会, 等. 老年髋部骨折的骨质疏松症诊疗专家共识. 中华骨与关节外科杂志, 2021, 14(8): 657-663.
3. 唐佩福. 老年髋部骨折的诊治现状与进展. 中华创伤骨科杂志, 2020, 22(3): 197-199.
4. Alexiou KI, Roushias A, Varitimidis SE, et al. Quality of life and psychological consequences in elderly patients after a hip fracture: a review. Clin Interv Aging, 2018, 13: 143-150.
5. 刘刚, 杨明辉, 张京, 等. 《老年髋部骨折诊疗与管理指南(2022 年版)》解读. 骨科临床与研究杂志, 2023, 8(2): 73-76.
6. 中华人民共和国国家卫生健康委员会. 老年髋部骨折诊疗与管理指南(2022 年版). 中国实用乡村医生杂志, 2023, 30(1): 11-18.
7. 何永琴, 黄陈, 冯筱青, 等. 谷氨酰胺对老年髋部骨折患者术后早期营养支持耐受性及炎症反应的影响. 第三军医大学学报, 2021, 43(20): 2250-2254.
8. 袁金艳. 择时吴茱萸穴位贴敷对老年髋部骨折患者术后胃肠功能影响的研究. 长沙: 湖南中医药大学, 2023.
9. 巫素青, 张伟, 侯明月. 视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能恢复的影响. 当代护士(下旬刊), 2018, 25(1): 57-59.
10. Sammut R, Trapani J, Deguara J, et al. The effect of gum chewing on postoperative ileus in open colorectal surgery patients: a review. J Perioper Pract, 2021, 31(4): 132-139.
11. Chen X, Chang C, Yuan X, et al. Efficacy and safety of preoperative chewing gum for undergoing elective surgery: a meta-analysis of randomised controlled trials. J Clin Nurs, 2023, 32(15/16): 4295-4310.
12. 杨剑, 杨生虎, 张成强, 等. 假饲对腹部术后肠梗阻治疗效果的研究进展. 中西医结合心血管病电子杂志, 2020, 8(31): 31-32.
13. 杨秋, 刘美连, 邰明霞, 等. 虚拟现实技术在国内外护理领域中应用的研究进展. 护士进修杂志, 2023, 38(7): 620-623, 635.
14. Hu Y, Yuan X, Ye P, et al. Virtual reality in clinical nursing practice over the past 10 years: umbrella review of meta-analyses. JMIR Serious Games, 2023, 11: e52022.
15. 李卡, 袁星竹, 胡艳杰, 等. 一款集成视听嗅觉虚拟现实假饲装置的研发设计. 四川大学学报(医学版), 2023, 54(4): 792-797.
16. 中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组. 创伤骨科围术期禁食水管理专家共识. 中华创伤骨科杂志, 2018, 20(9): 737-742.
17. Zhu Y, Blundell JE, Holschuh NM, et al. Validation of a mobile App-based visual analog scale for appetite measurement in the real world: a randomized digital clinical trial. Nutrients, 2023, 15(2): 304.
18. Flint A, Raben A, Blundell JE, et al. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord, 2000, 24(1): 38-48.
19. 李艳平, 姚静松, 张立宏. 耳穴贴压对慢性阻塞性肺疾病患者无创通气后并发腹胀的疗效观察. 医学综述, 2021, 27(4): 829-833.
20. Aziz I, Whitehead WE, Palsson OS, et al. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol, 2020, 14(1): 39-46.
21. 宋咪, 孔丹, 高远, 等. 老年髋部骨折围术期护理临床实践专家共识(2023 版). 中华创伤杂志, 2023, 39(3): 214-222.
22. Inouye SK, van Dyck CH, Alessi CA, et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med, 1990, 113(12): 941-948.
23. Lin CJ, Su IC, Huang SW, et al. Delirium assessment tools among hospitalized older adults: a systematic review and metaanalysis of diagnostic accuracy. Ageing Res Rev, 2023, 90: 102025.
24. 易松, 马士辉, 王贵梅, 等. 益气健脾活血法在老年髋部骨折围手术期并发胃肠功能紊乱中的预防价值分析. 四川中医, 2023, 41(7): 131-135.
25. Cha YH, Nam DC, Song SY, et al. A prospective randomized controlled trial to evaluate effect of chewing gum on postoperative ileus in elderly patient after hip fracture. Medicine, 2021, 100(13): e25321.
26. 郭亚丽. 六字诀联合耳穴贴压预防老年髋部骨折患者术后便秘的效果观察. 福州: 福建中医药大学, 2022.
27. Celik B, Bilik Ö. Postoperative constipation incidence and effects of selected risk factors on constipation development in elderly patients with hip fracture. Orthop Nurs, 2022, 41(6): 397-405.
28. Trads M, Pedersen PU. Constipation and defecation pattern the first 30 days after hip fracture. Int J Nurs Pract, 2015, 21(5): 598-604.
29. 文曹丽, 贾伞伞, 李海婷. 穴位贴敷防治髋部骨折患者术后恶心呕吐的效果观察. 中国当代医药, 2020, 27(32): 145-148.
30. 高兰. 艾盒灸预防老年全髋关节置换术后气虚血瘀型患者腹胀、便秘及尿潴留的效果观察. 济南: 山东中医药大学, 2019.
31. 李强, 陈坤福. 加味增液承气汤对中老年髋部骨折围手术期并发腹胀、便秘临床观察. 中国医药科学, 2023, 13(11): 100-103.
32. 孟丽敏, 李卫, 刘伟, 等. 中老年功能性便秘患者症状与生活质量的相关性. 中国老年学杂志, 2017, 37(7): 1754-1756.
33. Ikeda A, Miyamoto J J, Usui N, et al. Chewing stimulation reduces appetite ratings and attentional bias toward visual food stimuli in healthy-weight individuals. Front Psychol, 2018, 9: 99.
34. Jiménez-Ten Hoevel C, Llauradó E, Valls RM, et al. Effects of chewing gum on satiety, appetite regulation, energy intake, and weight loss: a systematic review. Nutrients, 2025, 17(3): 435.
35. 许志娟. 视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究. 石家庄: 河北医科大学, 2015.
36. Janet R, Fournel A, Fouillen M, et al. Cognitive and hormonal regulation of appetite for food presented in the olfactory and visual modalities. Neuroimage, 2021, 230: 117811.
37. Savva A, Dijkman R, Bulik CM, et al. Behavioral separation of liking and wanting in response to olfactory and visual food cues. Appetite, 2025, 204: 107717.

West China Medical Journal

Effect of virtual reality sham feeding on postoperative gastrointestinal function in elderly patients with hip fracture

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content